Wellformed AI

NPI 1720002389 · live from the CMS NPI Registry

Daniel Tobias Boll, MD

Radiology, Diagnostic Radiology in Durham, NC. National Provider Identifier 1720002389, active.

NPI record

NPI1720002389 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location4101 N Roxboro St, Durham, NC 27704
Practice phone919-684-8111
EnumeratedJuly 27, 2006
Last updatedOctober 4, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202X2006-00697 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.